| NPI | 1497250203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 65924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29204) |
| 204F00000X Transplant Surgery (Licence: MN 65924) | |
| 207R00000X Internal Medicine (Licence: MN 65924) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-07-06 |